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J Thorac Cardiovasc Surg 1994;107:1469-1471
© 1994 Mosby, Inc.

SURGERY FOR ACQUIRED HEART DISEASE

Surgical management of aneurysms at the origin of an aberrant right subclavian artery

Michel W. Verkroost , MD, Ruben P. Hamerlijnck , MD, PhD, Freddy E. Vermeulen , MD


Nieuwegein, The Netherlands

From the Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.

Received for publication April 24, 1991. Accepted for publication Oct. 5, 1993. Address for reprints: Michel W. Verkroost, MD, St. Antonius Hospital, P.O. Box 2500, 3430 EM, Nieuwegein, The Netherlands.

Abstract

An aneurysmal origin of an aberrant right subclavian artery should preferably be closed with a prosthetic patch inserted with the aid of cardiopulmonary bypass with deep hypothermia and circulatory arrest. Three patients were operated on: a transaortic approach was used in two and a transaneurysmal approach in one. This technique allows a single-stage surgical correction of this rare anomaly through a median sternotomy and obviates the need for hazardous and difficult side clamping of the aorta. (J THORAC CARDIOVASC SURG 1994;107:1469-71)




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